Individual
DR. DOUGLAS ROBERT LUTHER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5050 NE HOYT ST, STE 422, PORTLAND, OR 97213-2991
(503) 236-4343
(503) 234-0271
Mailing address
3439 NE SANDY BLVD, PMB 375, PORTLAND, OR 97232-1959
(503) 284-8841
(503) 282-3302
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD16831
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047816
—
OR
Enumeration date
12/06/2005
Last updated
07/08/2007
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